DelaWell Health Management Program
DelaWell is Delaware’s health management program for state employees. The program provides health coaching, health education resources, discounts for gyms and weight loss programs, health screenings, and wellness challenges. DelaWell is reducing state health costs and helping state employees manage chronic diseases and create healthy personal behaviors.

Chronic Disease Self-Management Program
The Chronic Disease Self-Management Program is a community-based, peer-coaching model created by the Stanford School of Medicine. The self-management workshop is held once a week for six weeks at community facilities, covering a new lesson each week. The lessons include such topics as appropriate use of medications, communicating with family members and providers, and techniques to deal with fatigue and pain. Individuals who participated in the program, when compared to those who did not, demonstrated significant improvements in exercise, cognitive symptom management, communication with physicians, health distress, and disability.

Community Care of North Carolina
Community Care of North Carolina (CCNC) began in 1998 as a small pilot program aimed at lowering emergency room use by asthma patients. Today the program is a patient-centered medical home for Medicaid patients. The program has achieved a nine percent decrease in hospitalizations for those with diabetes, resulting in a $2.1 million savings over three years. The program has also had sustained decreases in emergency room visits and hospitalizations among asthma patients, a savings of $3.3 million over three years.[1] CCNC recently expanded to include Medicare enrollees and privately covered patients through a pilot program.

Vermont Blueprint for Health - Chronic Care Initiative
The Blueprint for Health is a state-led program dedicated to achieving well coordinated and seamless health services, with an emphasis on prevention and wellness, for all Vermonters. Acting as an agent of change, the Blueprint is working with a broad range of stakeholders to implement health service models, such as community health teams and patient-centered medical homes, that are designed to: improve the health of the population; enhance the patient experience of care (including quality, access, and reliability); and reduce, or at least control, the per capita cost of care. One aspect of the program is the Chronic Care Initiative, a patient registry used to help reduce the incidence of chronic diseases and improve chronic disease management. The registry is used by providers, healthcare professionals, and insurers to track individual and group chronic disease care and quality improvements. The registry is also helping health plans to identify patients that may not be receiving necessary care for chronic diseases.




[1] Freeman, R., Lybecker, K.M., & Taylor, W. (2011, May). The Effectiveness of Disease Management Programs in the Medicaid Population. In Cameron Institute.

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